The treatment of fractures . to the encircling fascia of the joint. The deep bursa of thefemur lies in front of the lower end of the femur beneath thequadriceps muscles, and often communicates with the knee-joint. MMITOMS 323 The tubercle of the tibia is on a level with the head of the outline and anterior surface of the patella can be palpatedthroughout. When the leg is completely extended and is atrest, the patella can be moved from side to side. The numerouslongitudinal striae on the anterior surface of the patella can bedetected. In these the tendinous bundles of insertion of th
The treatment of fractures . to the encircling fascia of the joint. The deep bursa of thefemur lies in front of the lower end of the femur beneath thequadriceps muscles, and often communicates with the knee-joint. MMITOMS 323 The tubercle of the tibia is on a level with the head of the outline and anterior surface of the patella can be palpatedthroughout. When the leg is completely extended and is atrest, the patella can be moved from side to side. The numerouslongitudinal striae on the anterior surface of the patella can bedetected. In these the tendinous bundles of insertion of therectus are embedded. It is these fibers that fold in over thebroken patella and prevent the approximation of the ligament of the patella is parallel with the axis of the leg. Fracture of the patella occurs through either muscular con-traction (see Fig. 448) and strain or through direct form 0/ the fracture is not altogether dependent upon the fascia. Skin. Ligamentum Synovial membrane with under-lying fat tissue. Joint surface of patella. Point of reflexion of synovialmembrane. Fig. 449.—Diagram of anteroposterior section of patella and tendons, showing the smallextrasynovial portion of posterior surface of the bone. causative force. The fracture will be either transverse and cleancut or comminuted and irregular. The knee-joint is generallyopened : i. e., the synovial membrane is generally torn. Thesynovial membrane is reflected from the posterior surface ofthe patella some distance from the most inferior tip of the is possible, therefore, for a fracture to occur at the lower por-tion of the bone for some considerable distance from the loweredge without opening the knee-joint (see Fig. 449). Symptoms.—There are pain in the knee and immediate dis-ability, varying from partial to complete loss of power in ex-tension and in flexion. The patient may be unable to rise or, ithe can stand, he can not move except b
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901
